Iridociliary Melanoma With Secondary Glaucoma

Iridociliary Melanoma With Secondary Glaucoma

Case of 57-year-old patient with 4-month history of pain and decreased vision in one eye.

This article describes the case of a 57-year-old male patient with iridociliary melanoma with secondary glaucoma. The patient presented to the ophthalmology clinic with a 4-month history of chronic pain associated with decreased vision in the right eye. According to the patient, when he used his affected eye, he could only see at a distance of 1 m. Similarly, he was only able to count his fingers with the affected eye.

Examination was remarkable of a pigmented nodule located in the inferior part of the iris in addition to smaller pigmented lesions. His intraocular pressure was 63 mm Hg (reference range, 10 to 21). Whereas fundus examination showed cupping of the right optic disk. Similarly, as seen in the ocular ultrasonography, the mass involved the iris and ciliary body. The findings were consistent with the diagnosis of iridociliary melanoma with secondary glaucoma.

Iridociliary melanoma

Iris and ciliary body melanoma is defined as an aggressive tumour that only presents symptoms in its advanced stages. Doctors often discover the melanoma incidentally during routine examination. Treatment includes monitoring the tumour, radiotherapy and enucleation.

Doctors performed a primary enucleation of the right globe. Histopathology of the tumour confirmed the diagnosis. Evaluation for extraocular metastases was negative. Early detection of ocular melanomas allows less invasive treatment, surgeries or radiation therapy.

The patient was advised regular follow-up. However, he did not follow-up after surgery.


Iridociliary Melanoma

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Dr. Aiman Shahab is a dentist with a bachelor’s degree from Dow University of Health Sciences. She is an experienced freelance writer with a demonstrated history of working in the health industry. Skilled in general dentistry, she is currently working as an associate dentist at a private dental clinic in Karachi, freelance content writer and as a part time science instructor with Little Medical School. She has also been an ambassador for PDC in the past from the year 2016 – 2018, and her responsibilities included acting as a representative and volunteer for PDC with an intention to make the dental community of Pakistan more connected and to work for benefiting the underprivileged. When she’s not working, you’ll either find her reading or aimlessly walking around for the sake of exploring. Her future plans include getting a master’s degree in maxillofacial and oral surgery, settled in a metropolitan city of North America.


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